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Bilateral Retinal Detachments in a Healthy 22-year-old Woman After Moderna SARS-COV-2 Vaccination.
Subramony, Rachna; Lin, Lucia Christiana; Knight, Darren K; Aminlari, Amir; Belovarski, Ioan.
  • Subramony R; Department of Emergency Medicine, University of California San Diego, San Diego, California. Electronic address: rsubramony@health.ucsd.edu.
  • Lin LC; University of California San Diego School of Medicine, San Diego, California.
  • Knight DK; The Viterbi Family Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, San Diego, California.
  • Aminlari A; Department of Emergency Medicine, University of California San Diego, San Diego, California.
  • Belovarski I; Department of Emergency Medicine, University of California San Diego, San Diego, California.
J Emerg Med ; 61(6): e146-e150, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1482702
ABSTRACT

BACKGROUND:

Although uncommon, retinal detachments are medically urgent and can result in permanent vision loss if untreated. Bilateral retinal detachments in healthy individuals are even more rare. In addition, there are no cases to date of retinal detachment associated with either coronavirus disease 2019 (COVID-19) or after receiving the Moderna (mRNA-1273) severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) vaccine. CASE REPORT A 22-year-old woman with myopia but no ocular trauma or other major medical history presented to the emergency department with 5 days of progressive, painless vision loss in her right eye. On examination, her visual acuity with corrective lenses was 20/70 in the right eye, 20/20 in the left eye, and 20/25 with both eyes open. Point-of-care ultrasound of the eye showed a retinal detachment in the right eye. She was subsequently seen by ophthalmology and diagnosed with bilateral retinal detachments (macula off in the right, macula on in the left), despite being asymptomatic in her left eye. She underwent bilateral vitrectomies for simultaneous rhegmatogenous retinal detachments. Although the patient denied any preceding trauma, she did note having received her second dose of the COVID-19 vaccine 10 days before the onset of symptoms.Why Should an Emergency Physician Be Aware of This? We present a rare and unusual case of simultaneous bilateral retinal detachments in a healthy, young woman with no major medical history or medications. She received the COVID-19 vaccine a few days prior. Our case outlines a possible association with the vaccine and emphasizes the importance of ultrasonography in diagnosing time-sensitive medical conditions.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Detachment / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Vaccines Limits: Adult / Female / Humans / Young adult Language: English Journal: J Emerg Med Journal subject: Emergency Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Detachment / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Vaccines Limits: Adult / Female / Humans / Young adult Language: English Journal: J Emerg Med Journal subject: Emergency Medicine Year: 2021 Document Type: Article